STEPHEN BRYAN OGWANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079000

License Status

EXPIRED

Business

Title

First Name

STEPHEN

Middle

BRYAN

Last Name

OGWANG

Business Name

STEPHEN BRYAN OGWANG MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024